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Medical Case Management & Bill Review

Active
State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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This subcontract through the Maryland Office of Risk Management focuses on providing medical case management and bill review services for County insurance projects. The selected provider will offer medical oversight and financial auditing for prime contractors, specifically coordinating patient care and return-to-work initiatives while utilizing billing software to audit medical charges against established fee schedules. Key deliverables include comprehensive patient case management plans and audited medical bills. To ensure professional standards, the contract requires personnel to be either Certified Case Managers or certified medical coders. Interested parties should note that the response deadline is December 1, 2026, and the work falls under NAICS code 621391.

General Info

Medical case management and bill review services for Maryland County insurance projects.

Place of Performance

MD, USA

Set-Aside

NONE

Documents

This scope was carved out of 27-186.

The full solicitation package (3 documents), including the RFP, is on the prime solicitation, not on this scope.

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Third Party Administrative Services

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Timeline

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Response Deadline

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Organization & Contact Information

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AgencyMaryland → Office of Risk Management
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Provides medical oversight and financial auditing for prime contractors on County insurance projects. Coordinates care and return-to-work efforts through medical case management and audits medical charges against fee schedules using billing software. Requires Certified Case Managers (CCM) or certified medical coders. Delivers audited medical bills and patient case management plans.

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Same NAICS industry code

NAICS: 621391
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Health and Human Services Commission

POSTED

3 days ago

DEADLINE

in 11 days
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